Healthcare Provider Details

I. General information

NPI: 1396974408
Provider Name (Legal Business Name): STEPHANIE MARIE GARCIA D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. STEPHANIE MARIE WESTLEY

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10977 GRANADA LN SUITE 105
LEAWOOD KS
66211-1468
US

IV. Provider business mailing address

PO BOX 875743
KANSAS CITY MO
64187-5743
US

V. Phone/Fax

Practice location:
  • Phone: 913-215-5008
  • Fax: 816-447-3960
Mailing address:
  • Phone: 913-215-5008
  • Fax: 816-447-3960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2013045163
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05-36455
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: